Trinity Terrace

In the surveyor’s words

From the most serious findings on record at Trinity Terrace, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF755May 29, 2026

  Based on observation, interview, and record review the facility failed to provide pharmaceutical services to ensure accurate acquiring, receiving, dispensing, and administering of all medications for 1 of 3 residents (Resident #2) reviewed for medication administration. The facility failed to administrator Resident#2's Brimonidine Tartrate Ophthalmic Solution 0.2 % (Brimonidine Tartrate) as ordered from 05/15/26 to 05/27/26. The facility documented Resident #2's Brimonidine Tartrate Ophthalmic Solution 0.2 % (Brimonidine Tartrate) was administered when the medication had not been delivered to the facility from 05/15/26 at 7:00 P.M, 05/16/25 at 10:00 A.M. and 7:00 P.M till 5/19/26 was documented as administered. On 5/23/26 at 7:00 P.M till 06/25/26 was documented as administered. […]

• No harm, potential for more than minimal, patternF880Mar 27, 2025

  Based on observations, interviews, and record reviews, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 5 of 19 residents (Residents #11, #18, #19, #33 and #94) reviewed for infection control. MA A failed to sanitize a reusable blood pressure cuff between uses on Residents #11, #18, #19, #33 and #94. This failure could place residents at risk of cross contamination of infections from other residents. […]

• No harm, potential for more than minimal, patternF565Feb 8, 2024

  Based on observation, interview, and record review, the facility failed to provide a private meeting space for residents' monthly council meetings for 4 of 4 reviewed for resident council. The facility failed to provide a private space for resident council meetings. This failure could place residents, who attended resident council meetings, at risk of not being able to voice concerns due to a lack of privacy. Findings included: Interview on 02/07/24 at 1:56 PM with the Activity Director revealed the resident council meeting would be held in the bird room which is the living/lounge room. She stated it was the best place with the most privacy. She stated she would keep a watch on the hall to make sure staff were aware of the meeting. […]

• No harm, potential for more than minimal, patternF755Feb 8, 2024

  Based on observation and interview, the facility failed to provide pharmaceutical services, including procedures that assure the accurate administering of all biologicals, to meet the needs of each resident for 2 of 4 glucose test strips reviewed for pharmacy services. Staff failed to remove expired glucose test strips, used to check residents' blood glucose levels, from the nurse medication cart. This failure could place the rresidents at risk of inaccurate blood testing results. Findings included: Observation on [DATE] at 10:00 AM of Nurse Medication cart revealed two vials of glucose monitoring strips had expired on [DATE]. The strips had been marked with an opening date of [DATE], which was two days after they had expired. […]

• No harm, potential for more than minimal, patternF761Feb 8, 2024

  Based on observation, interview and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls for 1 (Medication Aide Cart) of 6 carts reviewed for pharmacy services. The facility failed to ensure MA-B secured her medication cart before walking away from it. This failure could allow residents to access medications not prescribed to them. Findings included: Observation on 02/08/24 at 10:30 AM revealed the medication aide's cart for the [NAME] Hall was unsecured. All of the drawers were able to be opened without the use of a key. Drawers contained both over the counter medications as well as prescribed medications. […]